Search › Illinois › 374J00000X
Latisha Stapleton, C.D, CLC
NPI 1659048023 · on the registry since 2021 · sole proprietor
Practice
- Address
- 619 E 103rd Pl Fl 1
Chicago, IL 60628 - Phone
- (773) 595-9918
- Fax
- (855) 706-5563
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois